| NPI | 1003073321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS MCKEAG Chair 317-962-5447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IN 01051762) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |